Nohc Magnolia Meadows LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

NOHC MAGNOLIA MEADOWS LLC

Practice address

1480 N 7TH St
Manitowoc, WI 54220-2012

Phone

(847) 612-0750

NPI assigned

Aug 14, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dean Carl Maschoff

Title

Member

Phone

(847) 612-0750

Specialties & licenses 1

Addresses

Other names 1

• Magnolia Meadows Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1003427766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 SHERMER RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623730",
            "telephone_number": "847-612-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 N 7TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202012",
            "telephone_number": "847-612-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOHC MAGNOLIA MEADOWS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "MASCHOFF",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "847-612-0750"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Meadows",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.